Thank you for your interest in Leavell College! In order
for us to process your application in a timely manner, please read the
instructions for each section carefully and fill out ALL information. Please note: Do not use the enter key when completing this form.
Use only the tab key or your mouse. Please enter all phone numbers as numbers only without dashes, spaces, etc.

You will be charged a $35.00 application fee for processing your application. You will be required to make payment when you submit this form.

Personal Information

Please enter your full legal name below.

Prefix

First Name

Middle Name

Last Name

Suffix

Preferred Name or Nickname

Date of Birth

Former Last Name

Social Security Number or Government ID. Please enter nine zeros if you do not have a number.

Please select one or more. Be sure to select Yes or No for "Are you of Hispanic/Latino ethnicity or descent." This information is for reporting purposes only
and does not affect your acceptance as a student.

Are you of Hispanic/Latino ethnicity or descent?YesNo

Hispanic

American Indian or Alaska Native

Am.Indian or Alaska

Asian

Asian

Black or African American

Black or African Ame

Native Hawaiian or Other Pacific Islander

Nat.Haw.or Pacif.Isl

White

White

Citizenship Information

Please enter your citizenship information.

Primary Citizenship

If US Citizen, please select one.

Academic Information

The Academic Year for Spring and Summer Terms is the same as the calendar year in which you wish to enroll.
The Academic Year for the Fall term is the next calendar year. For example, the Fall term beginning in the 2010 calendar year
is a part of Academic Year 2011. NOTE: Date of application should be no more than one year prior to intended enrollment date.

Academic Year and term for which you are applying

Program and degree for which you are applying. Please select only one.

If you are applying to be a non-degree student taking internet courses, please click on New Orleans Internet. If you plan to attend the New Orleans campus, please click on New Orleans Baptist Theological Seminary. Otherwise, please click on the campus that you plan to attend. Only one campus should be selected.

Education History

Please list the high school and all colleges, universities, and seminaries that you have attended, even if you did not complete a degree. Please list GED if applicable.

Degrees

Click on SUBMIT Application after you
have read the Application Policy statement and selected "I accept" to confirm that you have read and fully understand the
terms and conditions set forth in ourApplication Policy